The numerical simulation of atherosclerotic plaque growth is computationally prohibitive, since it involves a complex cardiovascular fluid-structure interaction (FSI) problem with a characteristic time scale of milliseconds to seconds, as well as a plaque growth process governed by reaction-diffusion equations, which takes place over several months. In this work we combine a temporal homogenization approach, which separates the problem in computationally expensive FSI problems on a micro scale and a reaction-diffusion problem on the macro scale, with parallel time-stepping algorithms. It has been found in the literature that parallel time-stepping algorithms do not perform well when applied directly to the FSI problem. To circumvent this problem, a parareal algorithm is applied on the macro-scale reaction-diffusion problem instead of the micro-scale FSI problem. We investigate modifications in the coarse propagator of the parareal algorithm, in order to further reduce the number of costly micro problems to be solved. The approaches are tested in detailed numerical investigations based on serial simulations.

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A temporal homogenization approach for the numerical simulation of atherosclerotic plaque growth is extended to fully coupled fluid-structure interaction (FSI) simulations. The numerical results indicate that the two-scale approach yields significantly different results compared to a simple heuristic averaging, where only stationary long-scale FSI problems are solved, confirming the importance of incorporating stress variations on small time-scales. In the homogenization approach, a periodic fine-scale problem, which is periodic with respect to the heart beat, has to be solved for each long-scale time step. Even if no exact initial conditions are available, periodicity can be achieved within only 2–3 heart beats by simple time-stepping.@en